Effects of a community-based salt reduction program in a regional Australian population.
<h4>Background</h4> <p>Salt reduction is a public health priority but there are few studies testing the efficacy of plausible salt reduction programs.</p> <h4>Methods</h4> <p>A multi-faceted, community-based salt reduction program using the Communication fo...
| Main Authors: | , , , , , , , , , , , |
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| Format: | Journal article |
| Language: | English |
| Published: |
BioMed Central
2016
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| _version_ | 1797079733022752768 |
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| author | Land, M Wu, J Selwyn, A Crino, M Woodward, M Chalmers, J Webster, J Nowson, C Jeffery, P Smith, W Flood, V Neal, B |
| author_facet | Land, M Wu, J Selwyn, A Crino, M Woodward, M Chalmers, J Webster, J Nowson, C Jeffery, P Smith, W Flood, V Neal, B |
| author_sort | Land, M |
| collection | OXFORD |
| description | <h4>Background</h4> <p>Salt reduction is a public health priority but there are few studies testing the efficacy of plausible salt reduction programs.</p> <h4>Methods</h4> <p>A multi-faceted, community-based salt reduction program using the Communication for Behavioral Impact framework was implemented in Lithgow, Australia. Single 24-h urine samples were obtained from 419 individuals at baseline (2011) and from 572 at follow-up (2014). Information about knowledge and behaviors relating to salt was also collected.</p> <h4>Results</h4> <p>Survey participants were on average 56 years old and 58 % female. Mean salt intake estimated from 24-h urine samples fell from 8.8 g/day (SD = 3.6 g/day) in 2011 to 8.0 (3.6) g/day in 2014 (−0.80, 95 % confidence interval −1.2 to −0.3;p < 0.001). There were significant increases in the proportion of participants that knew the recommended upper limit of salt intake (18 % vs. 29 %; p<0.001), knew the importance of salt reduction (64 % vs. 78 %; p < 0.001) and reported changing their behaviors to reduce their salt intake by using spices (5 % vs. 28 %; p < 0.001) and avoiding eating out (21 % vs. 34 %; p < 0.001). However, the proportions that checked food labels (30 % vs. 25 %; p = 0.02) fell, as did the numbers avoiding processed foods (44 % vs. 35 %; p = 0.006). Twenty-six percent reported using salt substitute at the end of the intervention period and 90 % had heard about the program. Findings were robust to multivariable adjustment.</p> <h4>Conclusions</h4> <p>Implementation of this multi-faceted community-based program was associated with a ~10 % reduction in salt consumption in an Australian regional town. These findings highlight the potential of well-designed health promotion programs to compliment other population-based strategies to bring about much-needed reductions in salt consumption.</p> |
| first_indexed | 2024-03-07T00:49:57Z |
| format | Journal article |
| id | oxford-uuid:8607221f-4dba-48be-b8bc-5926cd773fc5 |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-03-07T00:49:57Z |
| publishDate | 2016 |
| publisher | BioMed Central |
| record_format | dspace |
| spelling | oxford-uuid:8607221f-4dba-48be-b8bc-5926cd773fc52022-03-26T22:01:30ZEffects of a community-based salt reduction program in a regional Australian population.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:8607221f-4dba-48be-b8bc-5926cd773fc5EnglishSymplectic Elements at OxfordBioMed Central2016Land, MWu, JSelwyn, ACrino, MWoodward, MChalmers, JWebster, JNowson, CJeffery, PSmith, WFlood, VNeal, B <h4>Background</h4> <p>Salt reduction is a public health priority but there are few studies testing the efficacy of plausible salt reduction programs.</p> <h4>Methods</h4> <p>A multi-faceted, community-based salt reduction program using the Communication for Behavioral Impact framework was implemented in Lithgow, Australia. Single 24-h urine samples were obtained from 419 individuals at baseline (2011) and from 572 at follow-up (2014). Information about knowledge and behaviors relating to salt was also collected.</p> <h4>Results</h4> <p>Survey participants were on average 56 years old and 58 % female. Mean salt intake estimated from 24-h urine samples fell from 8.8 g/day (SD = 3.6 g/day) in 2011 to 8.0 (3.6) g/day in 2014 (−0.80, 95 % confidence interval −1.2 to −0.3;p < 0.001). There were significant increases in the proportion of participants that knew the recommended upper limit of salt intake (18 % vs. 29 %; p<0.001), knew the importance of salt reduction (64 % vs. 78 %; p < 0.001) and reported changing their behaviors to reduce their salt intake by using spices (5 % vs. 28 %; p < 0.001) and avoiding eating out (21 % vs. 34 %; p < 0.001). However, the proportions that checked food labels (30 % vs. 25 %; p = 0.02) fell, as did the numbers avoiding processed foods (44 % vs. 35 %; p = 0.006). Twenty-six percent reported using salt substitute at the end of the intervention period and 90 % had heard about the program. Findings were robust to multivariable adjustment.</p> <h4>Conclusions</h4> <p>Implementation of this multi-faceted community-based program was associated with a ~10 % reduction in salt consumption in an Australian regional town. These findings highlight the potential of well-designed health promotion programs to compliment other population-based strategies to bring about much-needed reductions in salt consumption.</p> |
| spellingShingle | Land, M Wu, J Selwyn, A Crino, M Woodward, M Chalmers, J Webster, J Nowson, C Jeffery, P Smith, W Flood, V Neal, B Effects of a community-based salt reduction program in a regional Australian population. |
| title | Effects of a community-based salt reduction program in a regional Australian population. |
| title_full | Effects of a community-based salt reduction program in a regional Australian population. |
| title_fullStr | Effects of a community-based salt reduction program in a regional Australian population. |
| title_full_unstemmed | Effects of a community-based salt reduction program in a regional Australian population. |
| title_short | Effects of a community-based salt reduction program in a regional Australian population. |
| title_sort | effects of a community based salt reduction program in a regional australian population |
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